Cohere Health
Remote
Remote

LPN Reviewer (11a-8p EST) at Cohere Health

Sorry, this job was removed at 8:38 p.m. (CST) on Tuesday, June 7, 2022
Find out who’s hiring remotely Nationwide
See all Remote jobs Nationwide
Apply Now
By clicking continue you agree to Built In’s Privacy Policy and Terms of Use.

Company Overview

Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient’s healthcare experience, both in and out of the doctors office.  Founded in August, 2019, we are obsessed with eliminating wasteful friction patients and doctors experience in areas that have nothing to do with health and treatment, particularly for diagnoses that require expensive procedures or medications.  To that end, we build software that is expressly designed to ensure the appropriate plan of care is understood and expeditiously approved, so that patients and doctors can focus on health, rather than payment or administrative hassles.

Opportunity Overview

The LPN Reviewer position is a crucial role in our organization as business needs change quickly — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic operations for the company. 

As an LPN Reviewer, you will help us accelerate our culture through interactions with our customers. In this position, as an LPN Reviewer, you will perform prospective reviews (prior authorization) and retrospective reviews according to established criteria and protocols to determine the medical appropriateness of the clinical requests from providers. You will work closely with Medical Directors and other Cohere Health staff to ensure appropriate cost-effective care by applying your clinical knowledge and critical thinking skills to assess the medical necessity of therapy and procedure requests. You will be required to review Commercial, Medicare, and Medicaid lines of business.

What will you do

  • Perform clinical reviews of therapy (speech, occupational and physical) and pain management procedures utilizing health care provider submitted information and National review guidelines
  •   Provide exemplary customer service with every interaction
  •   Collect and gather all necessary information for clinical review
  •   You will be cross-trained with other various positions within the company
  •   Must have a strong sense of self-awareness, willingness to learn and accept coaching to improve
  •   Must have empathy of others and ability to build rapport
  •   Thrive in a fast-paced environment, and are willing to jump in and help other team members
  •   Interact with providers via inbound calls, outbound calls, emails, and other communication platforms 
  • All other duties as assigned

Your competencies

  •   Strong communication skills, able to take unstructured information and structure it
  •   Ability to work cross functionally across remote teams
  •   Familiarity with Prior Authorization processes in healthcare
  •   Kind, Patient and Caring in even the most stressful situations
  • Thrive in a fast paced, self-directed environment
  •   Intellectual curiosity with a strong desire to understand a problem and work it to a viable solution
  •   Ability to navigate and use multiple systems to compile needed information in a timely manner
  •   Skilled in problem solving and delivering quality results.
  •   Demonstrates ability to de-escalate escalated calls.
  •   Excellent interpersonal skills, oral and written communication skills
  •   Ability to meet established performance targets for quality and volume completed on an hourly, daily, weekly, monthly basis
  •   Flexibility and agility, works well in ambiguous situations, clear understanding of an early stage startup environment

Your background

  • Experience in a Production environment
  • LPN licensure in state of residence is required
  • Healthcare experience is required
  • Proficient in medical terminology
  • Proficient in use of computers in daily function
  • Preferred proficient in using a Mac
  • Must have excellent computer skills, with a strong understanding of most major applications including GSuite products and Microsoft products
  • Excellent communication skills both written and oral
  • Passionate about continuous process improvement, always actively seeking out practical solutions to challenging business problems
  • You understand that this position is very fluid and the term “not my job” doesn’t exist
  • Associates degree preferred
  • Must be able to pass background check

Important to know about this role:

  • We’re looking for west coast LPNs, or LPNs that can work 11-8pm EST (8-5pm PST, 9-6 MST, 10-7 CST)
  • This is a 100% remote role, and requires robust internet speeds (above 50 megabytes/second), including the ability to utilize zoom meeting software and to stream video
  • We strongly believe in pay equity and transparency and as such would like to share that our hourly rate of pay for this position is $18.75 and an annual bonus. 

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal

 

#LI-Remote

#BI-Remote


See More
Apply Now
By clicking continue you agree to Built In’s Privacy Policy and Terms of Use.

Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • PythonLanguages
    • RLanguages
    • SqlLanguages
    • ReactLibraries
    • ElasticsearchLibraries
    • KafkaLibraries
    • SpringFrameworks
    • AWS (Amazon Web Services)Frameworks
    • GrailsFrameworks
    • MongoDBDatabases
    • TableauAnalytics
    • IllustratorDesign
    • PhotoshopDesign
    • AsanaManagement
    • ConfluenceManagement
    • Google DriveManagement
    • Google DocsManagement
    • Google SlidesManagement
    • JIRAManagement
    • DocuSignCRM
    • HubSpotCRM
    • LinkedIn SalesNavigatorCRM
    • SalesforceCRM
Previous
Next

What are Cohere Health Perks + Benefits

Culture
Friends outside of work
Eat lunch together
Intracompany committees
Various ERG groups,
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Documented equal pay policy
Dedicated Diversity/Inclusion Staff
Highly diverse management team
Unconscious bias training
Diversity manifesto
Mean gender pay gap below 10%
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Pet Insurance
Wellness Programs
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Performance Bonus
Match charitable contributions
Child Care & Parental Leave Benefits
Generous Parental Leave
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Happy Hours
Recreational Clubs
Fitness Subsidies
Professional Development Benefits
Job Training & Conferences
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Mentorship program
Time allotted for learning

More Jobs at Cohere Health